Hospitalizations: Fifteen Minutes of Fame

Hospitalizations: Fifteen Minutes of Fame

I had therapy. My therapist read my “Brick Wall” blog. She asked if we could talk about the bricks and we spent most of the session going over them. I also told her about my book problems, that I think it is disorganized. She said that it is her most prized possession, so I think she is biased in my writing abilities. She said my short story was heartbreaking to read. I haven’t gotten too many likes on it. I may have to play with the tags a bit. Anyway, talking about the bricks was difficult because it lead to where I was in my last hospitalization, where I wrote the story. I told her how no one was looking at the bricks, that they were just looking for the cement to dry before sending me home, so to speak. That is all they cared about. Stabilization and discharge were the key focus of what they wanted to do. What brought you in the hospital, they didn’t care about. Or if they did, it was always, “we’ll talk about it tomorrow” but never did. I hated that my needs were ignored and patronized. I flatly told them I was going to kill myself when I left the hospital during my initial few days when they wanted to discharge me. And it was true. I needed help and was going to stay inpatient to get that help. Except the help came back to me looking for help from outside services. The social worker that was working with me didn’t care about my needs. I ended up having to call places to look for outside support. I tried to get it but never had a call back or even an email back, though one place the email came back as undelieverable. It was a trying time. I wanted to kill myself so badly and yet I was supposed to make all these phone calls to show that I wanted to live? To do the work my team was supposed to be doing? I just don’t understand their mentality. Yet it has been nine months since I left the hospital. I am still here because the anti depressant they put me on really help stabilize my depression. Too bad it no longer works. I stopped taking it in December.

My therapist thinks I should write a blog about past hospitalizations and current ones. Thing is, I don’t remember much. I know things are different today than they were back then. For example, there are no longer any outside passes given. If you want outside passes, you are basically discharged. When I was in the hospital in August, they wanted to give me grounds privileges. This meant that I could go out for staff walks. I told them adamantly no because I was scared I was going to run. They gave it to me anyway. Granted that at the time, I was in an AFO so I know I wouldn’t get far, but they still took that chance of letting me go. Stupid, I tell ya. I should have gone away from the group and tried to escape. I don’t know what that would look like but I know it wouldn’t be good on either side. I would most likely get reprimanded like a child, even though I am an adult. But that would be on them. I told them I would run and if I did, it was on them, not me.

I remember a time when I was in the hospital 21 years ago. I was severely depressed and suicidal. I had attempted suicide and was hospitalized against my will, in fact the admitting staff forged my signature on the consent form. I went through my records after discharged. Anyway, back then they had ground privileges, which meant you could leave the unit unaccompanied by a staff person. Just as long as you stayed on hospital grounds. Well, I decided to walk around the block after working hours and got “caught” by off duty staff. My privileges were revoked the next day as I broke the “rules”. I never kept my privileges too long. I always did something to revoke them. One weekend I had to beg for an outside pass just to pay a bill (I was there for more than a month and if I didn’t pay the bill, my phone was going to be turned off). I told them I would be back within an hour and I did. It was the first time they trusted me to do this. It was tough because I was so suicidal and they weren’t going to let me try again, hence why my stay was 2 ½ months. That was my longest time in the hospital. It did help me but the demons were still there. I had major issues that I still don’t talk to anyone about, not even my current therapist. It’s just too scary.

Last night I was looking for former therapists. I came across one, Dr. B. She helped me probably more than all the rest. She was the longest therapist that I have seen till that point, three years. All the rest of the therapists that I have seen were year or less. I am going to send her my book and email address. I wrote about her in my book. It was hard not to include her because the opening introduction has her in it as that was my first serious suicide attempt. I had made other attempts before that one, but this one landed me in the hospital and then I was there for a long time. That is when you had good care and one on one contact with someone. Now they have these “teams” where there are all the staff from the unit meet with you for fifteen minutes or so and then decide what to do with you. Fifteen minutes to decide if you need further stay or discharge. It is nothing like the care I had 21 years ago. You met with your inpatient therapist, then a social worker, and then your contact person who was a staff member for that shift. This no longer happens and it’s sad. No longer do you feel safe in the hospital or cared for. It is the end of the era for hospitals. I will never go back, no matter how suicidal I get. They can just kiss my ass goodbye.

Brick Walls

7-Aug-14 Brick Walls

I am currently on a psychiatric unit in a hospital. I’ve been here for a week now, with no hope of getting out anytime soon. I am here because I am profoundly suicidal. All I see are brick walls surrounding me and they keep on closing in on me. It’s like a prison that only I can see. I am surrounded by these bricks and no one cares how high they get. And they certainly don’t care how they got there.

I want to take my life because I am stuck, just like these brick walls. The cement has hardened each brick into place so you cannot move it. My thoughts of suicide have also hardened to the point where they don’t budge. I feel very hopeless that this hospitalization will not help detach one of these bricks so that I make break free of the confinement I feel. If enough bricks fall, I may see the light at the end of the tunnel. But I doubt that will happen. I never see the light for long. I am always in a dark place. I am always feeling hopeless. And hopelessness and suicidal thoughts are not a good combination. They seal the cement and lock me in to this confinement that I am in.

The doctor and staff are trying their best to keep hope alive for me, but I just don’t see it. All I see is the brick wall that is impenetrable. Nothing or nobody can get through it or to me. It will take more than a jack hammer or two to get through to me right now. And it seems that no one owns one. The staff is too busy to care about the bricks. They just want the cement to fall to force me to see the light as the bricks become loose. Just so they can discharge me. They don’t care how the bricks were formed. And this hurts because no one takes the time to see how much I am hurting like they used to.

I have been trying to stay in the moment but my moments are just filled with suicidal thoughts and feelings. They are also filled with plans on how to end my life. Each thought makes the brick wall stronger so no one can breakthrough. Each brick has been mounted with feelings of inadequacy, shame, indignity, depression, hopelessness, worthlessness, and unbearable pain. Pain is the biggest brick. It lies in the center surrounded by the other bricks that I just mentioned. It exceeds all others in thickness and size. It is killing me, literally and physically, to be in unbearable pain all the time. The pain stems from just left of the sternum of the chest wall and captivates the entire left side of the chest cavity. It is a pressure felt day in and day out. In essence, it is like a ton of bricks weighing on my heart.

As the cement hardens around the brick, making it so difficult to breathe, the pressure on the chest increases. No medical tests exists to identify this weight. It’s not visibly present. That makes it difficult to explain without the feeling of sounding crazy. Who is going to believe a suicidal person that there is a weight on the chest when no one can see or feel it? It is not measured by tests or electrocardiograms. It is just a heaviness that fills your soul. And the soul cannot be seen or felt. Nor can it be measured. No one’s pain is the same. Each is unique to that individual. And my pain is what is strangling me in this moment of time.

The pain is always present in times of despair. It ruins any hope one might have and increases the weight of the bricks bearing down on you. Nothing alleviates this pain. There are no pills that can ease the pressure or painful despair. It’s ever present and deepens the despair because no one understands it. All the symptoms of depression and suicidal thinking makes it very difficult to treat. And the longer it lasts, the higher the brick wall is built. Will the doctors and social workers have what it takes to help bring down the brick and mortar? Very unlikely. They don’t have the time to really get to know me, much less help me. I have resigned myself to stay within these brick walls until they envelope me so I can no longer breathe. Each day they move closer, causing me to feel more isolated and the feeling of suffocation grows stronger. Love doesn’t have any effect on these walls that have surrounded my heart. My heart has become stone a long time ago. Only negative feelings are allowed to pass through. I have given up on positive feelings ever passing through my little barricade. It took years for the brick wall to be built. It might take years to be torn down. But the suicide demons won’t allow that. This time the brick walls will win. I no longer have the energy to chisel my way out of my own prison. But then, I am in a psych ward where chisels are not allowed. You just expected to go to groups to cope with the demons rather than allow them to fall.

And because no one knows the depth of my prison, I am here for a long time, in solitary confinement. The walls are dark and gray, just the way that I feel inside. I doubt I would ever get parole from this darkness that fills my soul. If I do, it is only for a short time before I am back in solitary. The light barely has a chance to touch me before everything becomes dark again. That is why I don’t trust happiness or feeling good. I much rather be content about things than feel happiness. Happiness, to me, is a fleeting emotion that is hard to hold onto. It is slippery like silk, never lasting more than a few minutes and devastating when it leaves you.

So I sit here in my room, surrounded by darkness so the sunlight won’t come in, staring at the brick wall and it staring back, trapped in my own prison.

hyped up and hypo again

Hyped up and hypo again

So the past week I have been in a hopeless, depressed mood. Now today, I had my coffee, nothing different, and I am feeling hypomanic. I am so hyped up and I don’t know why. I got done all the errands I needed to do. My foot is thanking me kindly because it didn’t like the extra trip I made to get a few legal pads so I can write. I am running low on my paper. I didn’t get that much sleep last night. I slept maybe 5 hours, if that. I had to get up early for my eye appointment. It went well and as I suspected, my vision has changed and I need new glasses. I got two prescriptions, one for reading and one for bifocals. Don’t know where I am going to get the money for both these glasses. I might not be able to get my sunglasses like I want to. But we’ll see next month how much everything will cost. I will shop around for the cheapest price. I have no choice.

I started a letter to my therapist last night. I really don’t want to read it. I know it started off with the usual pleasantries and then went off the deep end. I was in a real mood last night, which is why I can’t explain why I am in a good mood today. But I will take it. I also wrote about stopping my meds. Whenever I get really hopeless, I think the meds are useless and why bother taking them. I won’t stop the abilify because I can’t afford to become psychotic again. I will need to go in the hospital. Hell, the way things are going, I might be headed there again.

I am not doing anything else today except picking up my prescription later today. And I might get a bag of potato chips. Been craving them but thing is, I will eat the whole bag. I will get a small bag if they have the kind I am wanting. I went to the stationary store today to get a few legal pads. And because I am a pen freak, got two pens. I wasn’t planning on it. I really wanted the Zebra 301 in blue but all they had was black so instead I got the V-Ball black and blue. I am very particular about my pens. I usually just write in black ink exclusively. But lately, I have been wanting to write in different colored inks. I got my JetStream in different colors but will only write when it’s not in my journal, though I have written at least one entry in turquoise. I have a lavender colored pen that I have been wanting to use. Maybe I will write my therapist with that pen.

I really need to rest my ankle/foot. It will flare up on me and if I don’t stay on top of the pain, I am fucked. I can’t wait for my new sneakers to come because the ones that I have feel too small, even though they are my size. It’s probably because my foot swells and then becomes uncomfortable by the end of the day. Hence why I need new sneakers. According to their delivery schedule, they should arrive tomorrow with the mail. I don’t think I will be going out tomorrow, but that could change. I really need a day to chill as I have been going out most of this week. It hasn’t been long hours, but baking those cookies really took a lot out of me and now I am paying the price. I should be ok with my meds and rest, but with me feeling so hyped up, it’s hard to stay still. I want to do things. I want to go out, but I really need to listen to my foot and it is saying stay put or you will die. UGH, I hate feeling this way. Hopefully, my pain meds will mellow me out some.

I wrote a draft to my psychiatrist saying I got the brilliant idea of stopping my meds and gave the reasons for it. Now I don’t feel that way so I am glad I didn’t send it. I don’t feel like that now. I feel too good, a little too, too good. I might take an extra oxcarb tonight to see if that helps settle these mood swings. One thing about bipolar is having to deal with the extremes. It drives me crazy to be at the bottom of an abyss one day (like last night) and then feel on top of the world the next day. I feel like I can do anything, well, except fly. I feel like writing my psychiatrist and telling her I am back up again. I bet she is going to think what the hell is going on, just like I am wondering. But it’s been more than ten years since I have had these mood swings. I have been on the same mood stabilizer for years and sometimes it needs tweaking. I still am like WTF is happening to me. Only because when I crash, I crash hard and become immensely suicidal. Right now suicide is farthest from my mind, but it could come back in the next few days. I don’t think I am cycling, another part of this lovely disorder. The hypo and depression are too far apart. But I have gone through this before where I am hypo, psychotic, depressed, and then the pattern repeats. It has been years since this last happened and I ended up in the hospital because each crash was more serious than the previous one. I think that was when I ended up in the detox unit of a psych ward because there were no other beds available. God that hospitalization was awful. I hated the psychiatrist and boy was she dumb. She thought one of the antidepressants that I was on was an antibiotic. And she thought that Vioxx wasn’t a COX2 inhibitor. I knew more about the meds she was prescribing than she did. And she resented me for it. I should have filed a complaint with the medical board for her treatment of me but I never did. I will NEVER go back to that ward, even it was the last bed on the planet.

Twenty-Three Years

Twenty-three years

Today marks twenty-three years that I have sought help for my depression and self-destructiveness. I actually didn’t seek help straight out. My English teacher noticed I was upset and pulled me aside and saw the marks on my wrist that I had made the night before. She then told me to stay after class, something no teacher has ever told me to do before. She took me to the nurse’s office. We chatted. I told her about what happened at my house the last two nights and how much I just wanted to die. She called my mother, who then took me to the local counseling center. By then, I told them “nothing was wrong” and that I was “okay”. I declined treatment and went on with my day. Daily visits to the nurse’s office became more frequent. I just stopped in to check in and told her what was going on. She wanted me to see someone so the following week I agreed to see the school counselor. Thus started my official journey into psychotherapy.

It hasn’t been an easy road. For the first ten years, I had a different therapist nearly every year. I think the only time I had two years was with the psych resident that wanted to see me or I would still be in the hospital. I went through a lot with this psychiatrist in training. While in her care, I attempt suicide and ended up being in the hospital for two and half months. When she ended her residency, I went to another psych in training. He wasn’t as good as she was. In fact, he was terrible. I felt like he was more my brother than a therapist but when I told him I was procuring more medication to end my life, he asked me if I was suicidal. That is when I knew he was an idiot. I pretty much ended our relationship within a few weeks and saw someone else. She was good, had years experience. But after I had an argument with my sister and she wanted to know more about my sister’s social life than my anger, I ended things with her. I went about a month without seeing someone. I then decided to go back to my town’s local mental health center. I saw someone there for a year and again, she decided to move on after that year mark. We were finally connected and I felt so betrayed. I didn’t think I was going to see another person again. I don’t know what changed my mind. I knew I didn’t want to see someone else at the local mental health center. I wanted to see someone private. I figured they were less likely to leave their practice. And I luckily found my current therapist and we have been together for fourteen years. It is the longest relationship I have had, outside of my psychiatrist. I am lucky that I have had just one psychiatrist for my medication all these years. She does more than just prescribe my medication. She also does some therapy and is my sounding board for the various medical issues that I have. And I can’t wait to see her again in a week after not seeing her for four long months. It is going to be weird seeing her again.

I don’t know why I have stuck it out in therapy all these years, especially when things were at their worst. I have been beyond hopeless and yet my psych team (therapist and psychiatrist) always made me see another day, sometimes against my wishes.